Active NPI
Effie C. Chang, M.D., P.C.
- Gynecology Physician
- New Haven, CT
National Provider Identifier
1154605293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 17026
- Legal business name
- EFFIE C. CHANG, M.D., P.C.
- Practice address
- 136 Sherman Ave
Suite 302
New Haven, CT 06511-5238 - Phone
- (203) 776-5360
- Fax
- (203) 787-4990
- NPI assigned
- Oct 7, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Effie C Chang, M.D., P.C.
- Title
- Owner
- Phone
- (203) 776-5360
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 17026 | CT | Primary |
Addresses
Primary practice location
136 Sherman Ave
Suite 302
New Haven, CT 06511-5238
Mailing address
136 Sherman Ave
Suite 302
New Haven, CT 06511-5238
Phone (203) 776-5360
National Provider Directory
National Provider DirectoryLocations
136 Sherman Ave
Ste 302
New Haven, CT 06511
Phone (203) 745-5660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317945600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1317945600000",
"number": "1154605293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 SHERMAN AVE",
"address_2": "SUITE 302",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065115238",
"telephone_number": "203-776-5360",
"fax_number": "203-787-4990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136 SHERMAN AVE",
"address_2": "SUITE 302",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065115238",
"telephone_number": "203-776-5360",
"fax_number": "203-787-4990"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EFFIE C. CHANG, M.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-07",
"last_updated": "2011-10-07",
"status": "A",
"authorized_official_last_name": "CHANG",
"authorized_official_first_name": "EFFIE",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "203-776-5360",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D., P.C."
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "CT",
"license": "17026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.